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puumala virus outbreak in western thuringia, germany, 2010: epidemiology and strain identification.in 2010, the highest annual number of human puumala virus (puuv) infections was reported in germany since hantavirus surveillance started in 2001. the increase in annual case numbers was especially marked in western thuringia. we combined results of case-based hantavirus surveillance in humans and serological and molecular investigations in the rodent reservoir to describe the epidemiological situation and to identify the putative outbreak strain. a 5-fold increase in notified hantavirus cases c ...201323398736
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